Individual
DR. CHARLES A KIRBY
Inactive
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5715 CORNELISON RD, 6600 BLDG, CHATTANOOGA, TN 37411-5661
(423) 892-3937
(423) 892-5443
Mailing address
5715 CORNELISON RD, 6600 BLDG, CHATTANOOGA, TN 37411-5661
(423) 892-3937
(423) 892-5443
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000011473
TN
207W00000X
Ophthalmology Physician
Primary
MD00000011473
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3191743
—
TN
Enumeration date
08/10/2005
Last updated
05/14/2019
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